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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />DUll <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />OUIC- tAl <br /> <br />PARCELID#I /0 - ~f~~~~R~~(;:E~kN~t!E~ <br /> <br />D SIGN D MOVE D <br /> <br />D <br />D <br /> <br />I ~SLj-i <br /> <br />Ihzlf7'fd/~ OVI"-S <br /> <br />B <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I ~/rck( L <br /> <br />SUBDIVISION <br /> <br />ml-fp <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I :>LI ~D/~L <br />C REPA <br />D COMM <br />D FRAME <br /> <br />LOT # <br /> <br />-(OC?~ <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />~-)Cn"V j L F ~~ ht <br />SQ FOOTAGE I <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />I <br /> <br />"'.'..'."'11111111111111111111111111111111111111111111111111111111111111111111111111111"'-'111111""1'""'11111111111111111111111111111111111 <br /> <br />1$ <br /> <br />1$ '1z>{) ..... <br /> <br />1$ <br /> <br />1$ <br /> <br />D GAS D ROOFING SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA DYES DNO <br /> <br />I1I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111II111111111111111111111111I11111111111111 <br /> <br />D BUILDING <br />[j(;J ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION ------; <br />AMPSERVlCE 200 0 ~~~y. <br /> <br />D <br /> <br />W.RE.C. <br /> <br /> <br />License # <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 i 1111111111111 <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms, <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance, <br />Attach (2) sets of Engineered Plans, <br />"'~PROPERTY SURVEY required for all NEW construction. <br />II.IIII!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111111111111111111111111111111111111111111111111II1111111111111111111111111I111111111 <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br /> <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />~ g----- <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />-- <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />-~~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br /> <br /> , <br /> License # 2rr~s <br />Y/N FEE CURRENT Y/N <br /> License # <br />Y I N FEE CURRENT Y/N <br /> License # <br />Y/N FEE CURRENT Y/N <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (PloUSurvey/Footage) <br />